摘要
目的探讨人口学变量和手术不确定感等因素对择期心脏手术患者术前焦虑、抑郁状况的影响。方法采用医院焦虑抑郁量表（HAD）和心脏手术术前焦虑、抑郁自编问卷对已住院择期心脏手术97例患者进行调查，分析相关因素对焦虑、抑郁的影响。结果焦虑阳性检出率为27％，抑郁阳性检出率为20％，焦虑和抑郁同时存在的阳性检出率为14％。性别在焦虑和抑郁得分上的差异均具有统计学意义[T（101）=3．51，P〈0．01；T（101）=2．78，P〈0．01]；文化程度对焦虑得分的影响不显著[F（3，98）=1．06，P=0．37]；文化程度对抑郁得分的影响差异具有统计学意义[F（3，98）=4．10，P〈0．01]。与手术不确定感有关的3个项目“心里想的都是有关手术的事”、“担心手术失败”、“担心手术后恢复得不好”对焦虑、抑郁得分的影响均具有非常明显的统计学意义（P〈0．01）。结论心脏患者的术前焦虑和抑郁状况受到多种因素不同程度的影响，临床上应综合考查多种测量指标，而手术不确定感对焦虑和抑郁的程度有预测作用。
Objective To study the effects of demographic variables, surgery-related uncertainty and other related variables on preoperative anxiety and depression in patients undergoing selective cardiac surgery. Methods 103 patients who were scheduled for cardiac surgery were investigated by using Hospital Anxiety and Depression Scale （HADS） and a self-made questionnaire, and the related influencing factors were analyzed. Results The positive rates of anxiety, depression, and both anxiety and depression were 27% , 20%, and 14% respectively. The anxiety score of the female patients was （7.3 ±3. 8） , significantly higher than that of the male patients [ （4. 3 ± 3.2）, T（97 ） = 3.41 ,P 〈 0. 01 ]. The depression score of the female patients was （6. 4 ± 3. 4 ）, significantly higher than that of the male patients [ （4. 3 ± 3.2 ）, T（ 97 ） = 2. 98, P 〈 0. 01 ]. The education background had no significant influence on anxiety score [ F（ 3,98 ） = 1.06, P = 0. 37 ] while had significant difference on depression score [ F（3, 98 ） = 4. 10, P 〈 0. 01 ]. The three ＂factors reflecting the recognition of surgery-related uncertainty, ＂what I thought is all about the surgery＂, ＂I＇m worrying about the possible failure of surgery＂ and ＂I＇m worrying about the possible unsatisfied convalescence＂, showed very significant effects on the anxiety and depression scores （all P〈0.01）. Condusion The state of preoperative anxiety and depression of the cardiac surgical patients are influenced by multiple factors, which should be considered in clinical practice. Recognition of surgery-related uncertainty is one of the most important influencing factors that can predict the state of preoperative anxiety and depression.
出处
《中华医学杂志》
CAS
CSCD
北大核心
2008年第39期2759-2762,共4页
National Medical Journal of China
基金
国家自然科学基金资助项目（30600185）
关键词
心脏外科手术
焦虑
抑郁症
问卷
Cardiac surgical procedures
Anxiety
Depression
Questionnaires
